The Kiwi® vacuum assisted foetal delivery device (OmniCup) is used in many maternity units globally, and is renowned for the safe delivery of babies. Why should its use be limited to assisting the delivery of a baby? Currently, open myomectomy procedures involve an abdominal incision (midline or pfannenstiel), and potentially requiring a myomectomy screw for exteriorisation. The size of the inc...

BACKGROUND Uterine rupture in pregnancy is rare and often could be life threatening and catastrophic. Myomectomy is one of very common surgeries in gynecology, performed as the vaginal, abdominal and laparoscopic surgeries. Pregnancies occured after abdominal and laparoscopic myomectomy are high risk for uterine rapture. CASE Patient was a 28 Years old female, pregnant woman at the 20 wks of ...

Myomectomy is the most common surgery with cesarean section. There is controversy between obstetricians about doing myomectomy with cesarean section. A 29 years old primigravida patient presented with a large lower segment myoma (20 cm.) who underwent myomectomy during cesarean section at the term pregnancy. Myoma weighted 1500 gr. She didn't have intra-operative hemorrhage or any post-partum c...

Objective Myomectomy performed during cesarean section is still controversial because of the potential for associated complications, especially with large myomas. Many obstetricians avoid performing cesarean myomectomy procedures because of the risk of uncontrollable hemorrhage. However, the prevalence of pregnant women with myomas is increasing, leading to an increase in the likelihood that ph...

OBJECTIVE To compare serum anti-Mullerian hormone (AMH) levels following hysterectomy and myomectomy. STUDY DESIGN Prospective longitudinal observational study. Serum AMH, follicle stimulating hormone (FSH) and luteinizing hormone (LH) levels were measured pre-operatively (T1) and 2 days (T2) and 3 months (T3) following hysterectomy and myomectomy in 70 women aged 36-45 years. Hysterectomy (l...

Minimal Access Surgery is increasingly becoming popular in almost all areas of surgery. Likewise laparoscopic myomectomy in carefully selected cases is becoming the method of choice over the conventional open approach for treatment of uterine myoma. The advantages of Laparoscopic myomectomy cannot be over emphasized [1,2]. However, the main concern has been the integrity of the scar in subseque...

BACKGROUND Pregnancy outcomes after laparoscopic myomectomy are generally favorable, with a pregnancy rate that is comparable to or even higher than the rate associated with abdominal myomectomy. The purpose of this article is to present the case of a pregnant patient at 10 weeks of gestation who was submitted to successful laparoscopic myomectomy of a twisted pedunculated uterine leiomyoma. ...

Since myomectomy throughout cesarean delivery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large intramural myoma who was diagnosed at 34 weeks of pregnancy and operated with an unavoidable cesarean-combined myomectomy. A 33-year-old unpursued primigravida was referred t...

Objective To evaluate the feasibility of robot-assisted laparoscopic myomectomy in multiple myomas over 10. Methods A retrospective study was conducted for 662 patients who underwent robot-assisted laparoscopic myomectomy and open myomectomy by a single operator in a tertiary university hospital. Results A total of 30 women underwent removal of 10 or more uterine myomas by robotics and 13 p...

INTRODUCTION Performing a myomectomy during pregnancy is extremely rare due to the risk of pregnancy loss, hemorrhage and hysterectomy. Favorable outcomes have been demonstrated with select second trimester gravid myomectomies. Literature documenting first trimester surgical management of myomas during pregnancy is scant. Patients with symptomatic myomas failing conservative management in the f...